Dominique Marguerite PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1241 Issued in OR

Legal business name

DOMINIQUE MARGUERITE PHD PC

Practice address

22 Botticelli Street
Lake Oswego, OR 97035-1306

Phone

(503) 699-1664

NPI assigned

Feb 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dominique Marguerite, PHD

Title

President

Phone

(503) 699-1664

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1699072785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350506",
            "telephone_number": "503-699-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BOTTICELLI STREET",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351306",
            "telephone_number": "503-699-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE MARGUERITE PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "MARGUERITE",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-699-1664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mariam Doll
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• Robin Donart
• Page McCarley Donnelly, PHD
• Corinne Donohue-Mercier
• Erin Donovan, FNP-BC
• Lee Howard Doppelt, PH.D.

• Clinical Psychologist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.